Tissue resection and treatment with shedding pulses

Patent metadata

Field	Value
Publication number	US-9848904-B2
Application number	US-201514708910-A
Country	US
Kind code	B2
Filing date	May 11, 2015
Priority date	Mar 6, 2009
Publication date	Dec 26, 2017
Grant date	Dec 26, 2017

Abstract

A fluid stream is directed toward tissue to generate a plurality of shedding clouds. The fluid stream can be scanned such that the plurality of shedding clouds arrive a different overlapping locations. Each of the plurality of shedding clouds can remove a portion of the tissue. In many embodiments, an apparatus to ablate tissue comprises a source of pressurized fluid, and a nozzle coupled to the source of pressurized fluid to release a fluid stream, in which the fluid stream generates a plurality of shedding clouds.

First claim

What is claimed is:

1. A method of ablating tissue with a fluid stream, the method comprising:
directing the fluid stream from a nozzle toward the tissue to generate a plurality of shedding clouds with a characteristic shedding frequency, cloud length, and velocity, wherein the nozzle comprises a Strouhal number within a range of 0.02 to 0.03 and is sized to fit within a probe having a diameter within a range of 1 to 10 mm; and
scanning the fluid stream along an axis with a translational velocity and an angle corresponding to a rotational velocity such that the plurality of shedding clouds arrives at different overlapping locations on the tissue;
wherein the cloud length is related to the characteristic shedding frequency and velocity of the plurality of shedding clouds.

2. The method of claim 1 , wherein each of the plurality of shedding clouds removes a portion of the tissue.

3. The method of claim 1 , wherein the fluid stream comprises a first liquid released into a second liquid to generate the plurality of shedding clouds.

4. The method of claim 3 , wherein the first liquid comprises saline and the second liquid comprises saline.

5. The method of claim 1 , wherein the scanning of the fluid stream is performed with the probe, wherein the probe comprises one or more of a hand held probe or a probe coupled to a linkage.

6. A method of ablating tissue with a fluid stream released from a nozzle, the method comprising:
directing the fluid stream toward the tissue to generate a plurality of shedding clouds with a characteristic shedding frequency, cloud length, and velocity, wherein the nozzle comprises a Strouhal number within a range of 0.02 to 0.03 and is sized to fit within a probe having a diameter within a range of 1 to 10 mm; and
scanning the fluid stream along an axis with a translational velocity and an angle corresponding to a rotational velocity such that the plurality of shedding clouds arrives at different overlapping locations on the tissue;
wherein the fluid stream comprises a first liquid released into a second liquid to generate the plurality of shedding clouds; and
wherein the cloud length is related to the characteristic shedding frequency and velocity of the plurality of shedding clouds.

7. The method of claim 6 , wherein each of the plurality of shedding clouds removes a portion of the tissue.

8. The method of claim 6 , wherein the first liquid comprises saline and the second liquid comprises saline.

9. The method of claim 6 , wherein the scanning of the fluid stream is performed with the probe, wherein the probe comprises one or more of a hand held probe or a probe coupled to a linkage.

10. A method of ablating tissue with a fluid stream released from a nozzle, the method comprising:
directing the fluid stream toward the tissue to generate a plurality of shedding clouds with a characteristic shedding frequency, cloud length, and velocity, wherein the nozzle comprises a Strouhal number within a range of 0.02 to 0.03 and is sized to fit within a probe having a diameter within a range of 1 to 10 mm; and
scanning the fluid stream along an axis with a translational velocity and an angle corresponding to a rotational velocity such that the plurality of shedding clouds arrives at different overlapping locations on the tissue;
wherein the scanning of the fluid stream is performed with one or more of a hand held probe or a probe coupled to a linkage; and
wherein the cloud length is related to the characteristic shedding frequency and velocity of the plurality of shedding clouds.

11. The method of claim 10 , wherein each of the plurality of shedding clouds removes a portion of the tissue.

Assignees

• Procept Biorobotics Corp

Inventors

• Aljuri Nikolai
• Mantri Surag
• Baez Luis
• Surjan George
• Sasnett Michael W
• Foote Jonathan

Classifications

• A61B34/10

  Computer-aided planning, simulation or modelling of surgical operations · CPC title

• A61B2217/007

  with irrigation system · CPC title

• A61B17/3203 Primary

  Fluid jet cutting instruments · CPC title

• A61B2018/2272

  with reflective or refractive surfaces for deflecting the beam (A61B2018/2261, A61B2018/2266 take precedence) · CPC title

• A61B18/148

  having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy · CPC title